PSP End of Life Care Algorithm - GPSC
PSP End of Life Care Algorithm - GPSC
PSP End of Life Care Algorithm - GPSC
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Palliative <strong>Care</strong> Pain &Symptom ManagementPathwayA Guide to Interdisciplinary Management <strong>of</strong> Palliative <strong>Care</strong> PatientsTable 1 Incident PainDressing changes or debridementPlanned turns, transfer, ambulationBath, Changing clothesBowel movements, disimpactionCatheterizationPain on movement due to bony metastases or fracturesPatients Medication Initial DosageOpioid naïve Fentanyl 12.5 – 25 mcg every 10-15 min. x3 dosesFair or low body mass Fentanyl 12.5 – 25 mcg every 10-15 min. x3 dosesOpioid tolerant Sufentanil 12.5 – 25 mcg every 10-15 min. x3 dosesMaximum = 100 mcg every 10-15 min. x 3 dosesTable 2SubtypesHyperactiveHypoactiveMixedPROOFTypes <strong>of</strong> DeliriumCharacteristicsAgitation, confusion, disorientation, delusion, hallucinations:Quiet confusion, disorientation, subdued, apatheticFluctuations between the hyperactive and hypoactive subtypesPage 11 <strong>of</strong> 11
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